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Table 3 Fidelity to the multimodal prehabilitation program followed by high-risk patients preparing for colorectal surgery in a regional hospital

From: The challenges of evidence-based prehabilitation in a real-life context for patients preparing for colorectal surgery—a cohort study and multiple case analysis

 

Adherence

  

Intended outcomes

Patient characteristics

Duration

Content and frequency exercise modality

Content and frequency nutrition modality

  

ID

CCI

DASI (METs)

SRT (W/kg)

PG-SGA SF

Intake-surgery (days)

HIIT hospital

HIIT home

Strength training

Accelerometer

Exercise adherence

Counseling sessions

Protein + vitamin supplement

eiFIT-application

Nutrition adherence

Total adherence

Aerobic capacity

Risk of malnutrition

Complications (CD)

Length of stay (days)

Functional recovery (days)

(prescribed | done | adequate)

(prescribed | done)

1 ♀

5

 > 7

2.29

9

43

–

–

–

–

 

Yes (4|4)

Yes (42|42)

Yes

100%

100%

NA

NA

No

3

1

2 ♀

3

5.62

1.79

1

44

Yes (8|8|8)

Yes (8|8|8)

Yes

Yes

100%

Yes (4|4)

Yes (26|26)

Yes

100%

100%

 + 11%

Low

No

3

1

7 ♂

5

5.07

1.18

0

33

Yes (5|5|5)

Yes (7|6|5)

Yes

Yes

91%

Yes (5|4)

Yes (23|20)

Yes

89%

90%

 + 3%

Low

IVa

16

16

3 ♀

6

5.62

1.42

0

48

Yes (11|11|11)

Yes (8|8|8)

Yes

No

92%

Yes (7|7)

Yes (48|34)

No

79%

85%

 + 2%

Low

No

3

0

10♀

6

5.07

1.82

10

36

Yes (11|11|11)

Yes (6|4|4)

Yes

No

81%

Yes (4|4)

Yes (32|30)

No

87%

84%

 + 15%

Low

No

4

1

9 ♀

5

6.18

2.02

10

36

–

–

–

–

 

Yes (4|4)

Yes (21|11)

No

73%

73%

NA

Medium

IVa

15

2

8 ♀

8

4.64

0.86

5

53

Yes (11|11|10)

Yes (13|6|6)

Yes

No

71%

Yes (8|5)

Yes (53|47)

No

73%

72%

 + 21%

Medium

No

4

1

4 ♀

9

3.97

0.89

2

84

No

Yes (12|12|6)

Yes

No

33%

Yes (1|1)

–

No

75%

54%

 + 13%

NA

V

NA

NA

5 ♀

7

3.97

NA

4

30 + 21

No

Yes (12|3|0)

Yes

No

17%

Yes (4|4)

Yes (29|29)

No

89%

53%

NA

Low

No

3

1

6 ♀

6

3.97

NA

0

44

Yes (10|5|0)

No

Yes

No

17%

Yes (3|2)

No

No

33%

25%

NA

NA

IIIa

14

14

  1. ♀ female, ♂ male, – not indicated, CCI Charlson Comorbidity Index, CD Clavien Dindo, HIIT high intensity interval training, ID patient identification number, PG-SGA SF Patient-Generated Subjective Global Assessment short form, SRT modified steep ramp test, WRpeak work rate at peak exercise
  2. Explanation: ID2 was in the prehabilitation program for 44 days, during which she performed hospital-based HIIT training. She had 8 prescribed sessions, performed 8 sessions, and had 8 adequate training sessions*. She should have had 4 nutritional counseling sessions and attended all 4. She received nutritional advice for protein intake, She should have followed these recommendations for 42 days and followed these recommendations for 42 days. * an adequately performed physical exercise training session was defined as a high-intensity interval training consisting of 14 intervals of 30 s at 60% of the modified SRT WRpeak followed by 60 s at 20 W or low-intensity interval training consisting of intervals of 30 s at 30% of the modified SRT WRpeak, followed by 60 s at 20 W
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Perioperative Medicine

ISSN: 2047-0525